Summary
Hedrocele represents an unusual variant of the rare posterior perineal hernia and results from a defect in the rectogenital septum. In the male, because of the prostate gland and the resistance of the perineal body, a hernia through this defect is directed posteriorly through the anterior wall of the rectum. Diagnosis is based upon an awareness of the entity combined with the finding of an anterior intraluminal rectal mass. Correction requires celiotomy and closure of the anatomic defect.
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References
Moschcowitz AV: Perineal hernia. Surg Gynecol Obstet 26: 514, 1918
Stone HB: Hernia.In: Lewis' Practice in Surgery. Hagerstown, William F Prior, 1929, vol 7, chapt 9
Thomford NR, Sherman NJ: Primary perineal hernia. Dis Colon Rectum 12: 441, 1969
Uhlenhuth E, Wolfe WM, Smith EM, et al: The rectogenital septum. Surg Gynecol Obstet 86: 148, 1948
Zimmerman LM, Anson BJ: Pelvic hernias.In: Anatomy and Surgery of Hernias. Ed 2, Baltimore, Williams & Wilkins, 1967, chapt 18, p 337
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Maull, K.I., Fleishman, H.A. Hedrocele: Report of a case and review of the literature. Dis Colon Rectum 21, 107–109 (1978). https://doi.org/10.1007/BF02586451
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DOI: https://doi.org/10.1007/BF02586451